Question

Antiarrhythmic infusions to treat tachycardia with a pulse in AHA protocols includes Sotalol. What is the dose for stable wide-QRS tachycaridia?

a) 100 mg (1.5 mg/kg) over 5 minutes; avoid if prolonged QT
b) first dose 150 mg over 10 minutes; repeat as needed if VT recurs. Follow by maintenance infusion of 1 mg/min for first six hours
c) 20 to 50 mg/min until arrhythmia suppressed; hypotension ensues, QRS duration increases >50% or maximum dose of 17 mg/kg given.
d) 6 mg rapid IV push, followed by an infusion of 12 mg/min.

Answer 1

The American Heart Association protocol recommends a dose of 100 mg (1.5 mg/kg) over 5 minutes for Sotalol in treating stable wide-QRS tachycardia, avoiding usage if there is a prolonged QT interval.

Step-by-step explanation:

The dose for stable wide-QRS tachycardia using antiarrhythmic agent Sotalol, according to AHA protocol, is option a) 100 mg (1.5 mg/kg) over 5 minutes; avoid if prolonged QT. This medication is used to treat arrhythmias such as tachycardia with a pulse. The initial dose is important, and care must be taken to avoid use in patients with a prolonged QT interval to prevent potential side effects and complications. The medication must be administered in a controlled environment, where the patient's heart rate and rhythm can be closely monitored.